Achilles stretching devices and methods performed therewith

ABSTRACT

Therapeutic devices and methods stretching the Achilles tendon. Each device includes base and wedge portions. The wedge portion has heel and toe ends, inside-foot and outside-foot edges, and an upper surface that includes a planar surface portion that lies in a wedge plane and an arcuate surface portion defined by a projection that extends out of the wedge plane. The wedge plane has a nonuniform elevation relative to the base portion as a result of the wedge portion having a fore-aft taper in the fore-aft direction and a lateral taper in the lateral direction. The fore-aft taper and the lateral taper are sufficient so that placement of a user&#39;s foot on the upper surface of the wedge portion causes supination and locking of the foot and enables stretching of the Achilles complex, while the arch of the user&#39;s foot is against and supported by the arcuate surface portion.

CROSS REFERENCE TO RELATED APPLICATIONS

This is a continuation-in-part patent application of co-pending U.S. patent application Ser. No. 12/750,754, filed Mar. 31, 2010, which claims the benefit of U.S. Provisional Application No. 61/164,975, filed Mar. 31, 2009. The contents of these patent applications are incorporated herein by reference.

BACKGROUND OF THE INVENTION

The present invention generally relates to therapy and physical fitness equipment, and more particularly to devices capable of stretching the calf muscle-Achilles tendon unit.

The Achilles tendon connects the calf muscles to the heel of the foot. The calf muscles pull on the heel through the Achilles tendon, enabling propulsion of the human body through the foot for walking and jumping activities. The combined length of the calf muscles and Achilles tendon should be short enough to contract strongly and generate enough power for daily activities, and also permit sufficient stretching to allow about ten to twenty degrees of ankle dorsiflexion. If the calf muscles and Achilles tendon cannot stretch and allow ankle dorsiflexion to this extent, the midfoot and the forefoot see abnormal stresses leading to pain and conditions like plantar fasciitis, flat feet, posterior tibial tendon dysfunction, stress fracture, and arthritis.

The normal human foot is a dynamic structure that can function as a flexible unit capable of adapting to uneven support surfaces during weight bearing, as well as a rigid unit capable of forward propulsion through tightening of the calf muscles. The loosening and stiffening of the foot automatically occur as a result of locking and unlocking the midfoot during walking and running. The same mechanism can be used in a reverse fashion to lock the midfoot and stiffen the foot by maximally lifting the big toe (hallux) and its metatarsal bone away from the ground or the level of the fifth toe and its metatarsal bone (supination of the forefoot). One can also pronate the forefoot by elevating the fifth metatarsal relative to the first metatarsal, which results in unlocking the foot and stretching the arch of the foot.

The Achilles tendon can be stretched by daily activities and specific exercises that force the forefoot (toes and metatarsus) toward the leg. In adults, weight-bearing exercises are generally more useful for stretching the Achilles tendon, whereas in children stretching is typically best accomplished with the assistance of an adult. Dynamic splints that provide constant stretching of the tendon can be used by both adults and children. However, such devices achieve limited stretching of the Achilles tendon because stretching of the calf muscle-Achilles tendon unit is more effective if the foot acts as a rigid lever and transmits all the stretch to the Achilles. If the foot is not rigid, some of the stretching forces tend to stretch the arch of the foot and can create or worsen an existing flatfoot condition.

BRIEF DESCRIPTION OF THE INVENTION

The present invention provides therapeutic devices and methods suitable for stretching the Achilles tendon. The devices provide for supination of the forefoot to make the foot more rigid and allow better stretching of the calf muscle-Achilles unit. Furthermore, the devices provide support for the arch of the foot, reducing stretching forces that would tend to stretch the arch of the foot and create or worsen an existing flatfoot condition.

According to a first aspect of the invention, a therapeutic device is provided that comprises a wedge portion and a base portion. The wedge portion has oppositely-disposed heel and toe ends in a fore-aft direction of the wedge portion, oppositely-disposed inside-foot and outside-foot edges in a lateral direction of the wedge portion, and an upper surface delineated by the heel and toe ends and the inside-foot and outside-foot edges of the wedge portion. The upper surface of the wedge portion comprises a planar surface portion that lies in a wedge plane and an arcuate surface portion defined by a projection that extends out of the wedge plane. The wedge plane has a nonuniform elevation relative to the base portion as a result of the wedge portion having a fore-aft taper in the fore-aft direction and a lateral taper in the lateral direction, wherein the inside-foot edge has a higher elevation at the toe end than at the heel end and the outside-foot edge has a substantially constant elevation in the fore-aft direction. The fore-aft taper and the lateral taper are sufficient so that placement of a user's heel on the upper surface at the heel end and the user's toes on the upper surface at the toe end causes supination and locking of the foot and enables stretching of the Achilles complex. The projection extends from the inside-foot edge toward but not to the outside-foot edge in the lateral direction, and extends between but not to the toe and heel ends of the wedge portion. The arcuate surface portion of the projection has arcuate contours in both the lateral and fore-aft directions, and the arcuate contours of the arcuate surface portion define an apex that is at least ten millimeters to about forty millimeters from the wedge plane.

According to further aspects of the invention, the device can be configured as a freestanding structure, in other words, the device does not require any additional external structure to support the device or enable the device to perform its intended function of supination and locking of the foot during stretching of the Achilles complex. As such, the base portion is adapted for placement on a surface of a floor or ground and the wedge portion enables weight-bearing stretching of the Achilles complex. The device can also be configured as a shoe wherein the wedge portion causes weight-bearing stretching of the Achilles complex when the user walks and runs while wearing the shoe, or configured as a splint wherein the nonuniform elevation of the upper surface of the wedge portion relative to the base portion is a result of the splint twisting the wedge portion, or configured as an apparatus comprising at least one strap attached to the base portion so that a user can pull the wedge portion to cause stretching of the Achilles complex.

Other aspects of the invention include stretching techniques using the devices described above. In each case, the device is specifically configured for stretching the Achilles complex of one foot, yet can also be switched to the opposite foot to pronate that foot and stretch the arch of the foot, for example, as a therapeutic treatment for high arched feet.

A technical effect of the invention is the ability of the devices to achieve greater stretching of the calf muscle-Achilles tendon unit as a result of the devices causing supination and locking of the foot, which results in the foot acting as a rigid lever that transmits essentially all of a stretching motion to the Achilles tendon. In this manner, the effectiveness of the stretching technique is increased to promote the ability of the calf muscles and Achilles tendon to stretch and allow ankle dorsiflexion, thereby reducing abnormal stresses within the midfoot and forefoot. Furthermore, the projection minimizes if not avoids stretching of the arch of the foot, thereby avoiding the creation or worsening of a flatfoot condition.

Other aspects and advantages of this invention will be better appreciated from the following detailed description.

BRIEF DESCRIPTION OF THE DRAWINGS

FIGS. 1 and 2 are end and side views, respectively, of a freestanding Achilles tendon stretching device in accordance with a first embodiment of this invention.

FIG. 3 is a perspective view of a freestanding Achilles tendon stretching device in accordance with a second embodiment of this invention.

FIG. 4 is a side view of a freestanding Achilles tendon stretching device similar to FIG. 3, but with the addition of a rocker feature at its lower surface.

FIGS. 5, 6, 7 and 8 show the device of FIG. 3 in combination with shoes (FIGS. 5 and 6), a splint (FIG. 7), and straps (FIG. 8) in accordance with additional embodiments of the invention.

FIGS. 9 through 11 are various views of an Achilles tendon stretching device and its components in accordance with a third embodiment of this invention.

FIGS. 12 through 14 represent a perspective view and two side views of an Achilles tendon stretching device in accordance with a fourth embodiment of this invention.

DETAILED DESCRIPTION OF THE INVENTION

The Figures depict therapeutic devices that can be used to stretch the Achilles tendon in accordance with particular embodiments of the invention. For convenience, consistent reference numbers are used throughout the Figures to identify the same or functionally equivalent elements. Furthermore, to facilitate the description of the devices, the terms “fore,” “aft,” “side,” “upper,” “lower,” “right,” “left,” etc., will be used in reference to the perspective of a user during use of the devices, and therefore are relative terms and should not be otherwise interpreted as limitations to the construction of the devices or as limiting the scope of the invention.

FIGS. 1 and 2 represent a freestanding Achilles tendon stretching device 10 in accordance with a first embodiment of this invention. The device 10 is shown as having wedge portions 12 comprising a left wedge portion 12 a and a right wedge portion 12 b, which are essentially mirror images of each other. The wedge portions 12 are shown coupled to each other through a base portion 14 that comprises two risers 14 a and 14 b located adjacent heel and toe ends 16 and 18, respectively, of the wedge portions 12. The heel and toe ends 16 and 18 are oppositely-disposed in the fore-aft direction of their respective wedge portions 12. Each wedge portion 12 is further configured to have oppositely-disposed inside-foot and outside-foot edges 20 and 22 in a lateral direction of the wedge portion 12, and an upper surface 24 delineated by the heel and toe ends 16 and 18 and the inside-foot and outside-foot edges 20 and 22.

The upper surface 24 of each wedge portion 12 is shown to lie in a plane but have a nonuniform elevation relative to the base portion 16 as a result of the size and shape of the risers 14 a and 14 b. In particular, the riser 14 a adjacent the heel ends 16 of the wedge portions 12 is smaller than the riser 14 b adjacent the toe ends 18 of the wedge portions 12, causing the wedge portions 12 to taper in both the fore-aft and lateral directions relative to a surface 26 on which the base portion 14 is supported, such that the inside-foot edge 20 has an increasing elevation toward the toe end 18, while the outside-foot edge 22 has a substantially constant elevation in the fore-aft direction. In addition, each wedge portion 12 has a nonconstant lateral width in the lateral direction as a result of the toe end 18 having a width that is greater than the width at the heel end 16. For example, the lateral width of each wedge portion 12 can nominally conform to a typical difference in the width of a human foot at the toes and heel. For this purpose, each wedge portion 12 may be sized for a specific range of foot sizes.

According to a preferred aspect of the invention, the fore-aft and lateral tapers of the wedge portions 12 are sufficient so that placement of one's foot on one of the upper surfaces 24 of the wedge portions 12 causes supination and locking of the foot and enables stretching of the Achilles complex. As an example, the inside-foot edge 20 at the toe end 18 may be elevated about one to about four inches (about 2.5 to about 10 centimeters) above the outside-foot edge 22 as a result of the fore-aft and lateral tapers of each wedge portion 12. As evident from FIGS. 1 and 2, the elevation of the inside-foot edge 20 relative to the outside-foot edge 22 can be achieved with the outside-foot edge 22 located at the same level as the surface 26 supporting the device 10. Alternatively, it is foreseeable that the outside-foot edge 22 could be slightly elevated at the toe end 18 relative to the heel end 16.

In use, an individual can utilize either or both wedge portions 12 of the device 10. In either case, a user places his or her heel against the upper surface 24 at the heel end 16 of the wedge portion 12 and places his or her toes against the upper surface 24 at the toe end 18 of the wedge portion 12 to cause supination and locking of the foot and stretching of the Achilles complex. In the embodiment of FIGS. 1 and 2, in which the device 10 is resting on the support surface 26, the user is able to shift his or her weight to the foot to cause weight-bearing stretching of the Achilles complex. Though shown as mirror images of each other to achieve a similar stretching effect for each foot, the fore-aft and lateral tapers of the wedge portions 12 a and 12 b could differ to achieve a different degree of stretching for the left and right feet.

While each wedge portion 12 is specifically configured for stretching the Achilles complex of either the right or left foot, each wedge portion 12 can also be used on the foot opposite the intended foot to pronate the opposite foot and stretch the arch of that foot, for example, as a therapeutic treatment for high arched feet.

Various materials can be used in the construction of the device 10 shown in FIGS. 1 and 2, including but not limited to plastic, rubber, metal and wood materials and combinations thereof. Though represented as an assembly of individual components, the device 10 could be produced as a unitary body, such as by a molding process that results in the device 10 being a solid body whose lower part defines the base portion 14 and whose upper part defines the wedge portions 12 a and 12 b and their surfaces 24. The upper surface 24 of each wedge portion 12 can be defined by or covered by a slip-resistant material, or otherwise treated to have a slip-resistant surface texture (not shown). In addition or alternatively, the device 10 can be equipped with straps 28 or other means for individually securing the user's foot or feet to the wedge portions 12.

The embodiments of FIG. 3 through xx share similarities with the embodiment of FIGS. 1 and 2, and therefore the following discussion of the remaining embodiments will focus primarily on aspects of these embodiments that differ from the first embodiment in some notable or significant manner. Other aspects of the additional embodiments not discussed in any detail can be, in terms of structure, function, materials, etc., essentially as was described for the first embodiment.

In the embodiment of FIGS. 3 through 8, one wedge portion 12 is represented as being a separate freestanding body that, while capable of being a mirror image of a second wedge portion (not shown), is not coupled to a second wedge portion. Furthermore, the wedge portion 12 and base portion 14 of the device 10 are formed as a unitary body, and the nonuniform elevation of the upper surface 24 of the wedge portion 12 relative to the base portion 14 is the result of the wedge portion 12 having a nonuniform thickness defined by its fore-aft and lateral tapers. The wedge portion 12 of FIGS. 3 through 8 is well suited for being formed by molding, preferably from a hard plastic or rubber material. Though not shown, the embodiment illustrated in FIG. 3 can be secured to the foot with a strap similar to the embodiment of FIGS. 1 and 2, or secured in any other suitable manner such as with tape or bandage.

As evident from FIG. 3, the elevation of the inside-foot edge 20 relative to the outside-foot edge 22 is achieved with the outside-foot edge 22 being at level above the surface 26 supporting the device 10. To promote the retention of the foot on the upper surface 24, a raised lip 30 is shown as being defined along the outside-foot edge 22. Use of the device 10 shown in FIG. 3 can be similar to that described for the embodiment of FIGS. 1 and 2. In particular, the device 10 can be used as a freestanding structure, in which case a user is able to place his or her heel against the upper surface 24 at the heel end 16 of the wedge portion 12, place his or her toes against the upper surface 24 at the toe end 18 of the wedge portion 12 to cause supination and locking of the foot, and then shift his or her weight to the foot to cause weight-bearing stretching of the Achilles complex. Similar to the embodiment of FIGS. 1 and 2, though the wedge portion 12 is specifically configured for stretching the Achilles complex of either the right or left foot, the wedge portion 12 can also be used to pronate the opposite foot for the purpose of stretching the arch of that foot.

FIG. 4 shows an optional feature of the invention, in which the wedge portion 12 is equipped with a rocker feature 44 that can increase the stretching motion further by allowing the wedge portion 12 to be pitched fore and aft. The rocker feature 44 can be formed integrally with the base portion 14, such that the lower surface of the base portion 14 defines the rocker feature 4. Another option is to form the rocker feature 44 as a discrete accessory that can be attached to the lower (flat) surface of the base portion 14.

FIGS. 5 and 6 show alternative applications for the wedge portion 12 of FIG. 3 in which the wedge portion 12 is sized for placement in a shoe 40 (FIG. 5) or as an integral or attachable portion for the sole of a shoe 40 (FIG. 6). In either case, as a result of the wedge portion 12 being combined with a shoe 40, the user can don the shoe 40 to cause supination and locking of the foot, and then walk in the shoe 40 to cause weight-bearing stretching of the Achilles complex.

Alternatively, the device 10 can be used in combination with a leg splint 42 (FIG. 7), in which case the nonconstant elevation of the surface 24 of the wedge portion 12 can be achieved as a result of the splint 42 serving as all or part of the base portion 14 to cause twisting of the wedge portion 12 to induce supination of the foot on which the splint 42 is installed and, as a result, continuous stretching of the Achilles tendon of that foot. Still another option for the device 10 of FIG. 3 is shown in FIG. 8, in which straps 31 are shown attached to the device 10 and whose ends can be grasped and pulled by a user to twist the wedge portion 12 to induce supination of the foot and cause stretching of the Achilles tendon of that foot. Finally, as with the embodiments of FIGS. 1 through 4, the wedge portions 12 of FIGS. 5 through 8 can also be used to pronate the foot opposite the intended foot for the purpose of stretching the arch of that foot.

FIGS. 9 through 11 represent another embodiment of the invention in which the device 10 is a freestanding structure and the wedge portions 12 a and 12 b are coupled together by the base portion 14. This embodiment provides the additional capability of adjusting the elevations of the surfaces 24 of the wedge portions 12 a and 12 b relative to the base portion 14 through an adjustment feature built into the base portion 14. This capability enables the device 10 to allow a user to tailor the degree of stretching to meet his/her flexibility.

The wedge portions 12 a and 12 b are shown in FIGS. 9 to 11 as pivotably attached to the base portion 14, such as with hinges 32 either assembled to or formed integrally with the wedge portions 12 a and 12 b and base portion 14. The hinges 32 are located at the outside-foot edge 22 of each wedge portion 12 a and 12 b, while the remaining perimeter of each wedge portion 12 a and 12 b (defined by the heel and toe ends 16 and 18 and the inside-foot edge 20) is not coupled to the base portion 14. The wedge portions 12 a and 12 b have the lateral taper ascribed to the prior embodiments, though more so as the upper surface 24 of each wedge portion 12 a and 12 b is essentially triangular-shaped. The base portion 14 is represented as constructed of a face plate 14 c attached to a frame 14 d. The frame 14 d provides the structural support for a pair of threaded rod and nut assemblies 34, by which rotation of each rod causes its corresponding nut to move linearly. As evident from FIGS. 9 to 11, an abutment member 36 is attached to each nut, such that rotation of the rod also causes the abutment member 36 to move linearly. Each rod and nut assembly 36 is oriented transverse to the fore-aft directions of the wedge portions 12 a and 12 b, which have tapered rails 38 that extend downward therefrom into the enclosure defined by the frame 14 d. The rails 38 and abutment members 36 are sized and arranged so that each abutment member 36 can be linearly moved by a rod and nut assembly 34 into engagement with its rail 38 to cause the corresponding wedge portion 12 a/12 b to pivot relative to the base portion 14 and increase the elevation of its upper surface 24 relative to the base portion 14. It should be apparent from FIG. 9 that the rod and nut assemblies 34 and the rails 38 they engage could be oriented parallel to the fore-aft directions of the wedge portions 12 a and 12 b and still be capable of elevating and lowering the wedge portions 12 a and 12 b. Furthermore, it should be noted that other actuation mechanisms could be used in place of the rod and nut assembly 36, including pistons, expanders, jacks, and rack and pinion mechanisms.

Lastly, the embodiment of FIGS. 12 through 14 is represented as a separate freestanding body similar to that shown and described in reference to FIG. 3, but with the further inclusion of a projection 46 disposed on the upper surface 24 of the wedge portion. From the following, it should be understood that the projection 46 and additional features discussed below in reference to FIGS. 12 through 14 can be employed with any of the embodiments shown in FIGS. 1 through 11.

Similar to the therapeutic device 10 of FIG. 3, the device 10 represented in FIGS. 12 through 14 includes wedge and base portions 12 and 14, with the wedge portion 12 having oppositely-disposed heel and toe ends 16 and 18 in the fore-aft direction and oppositely-disposed inside-foot and outside-foot edges 20 and 22 in the lateral direction. Furthermore, the upper surface 24 of the wedge portion 12 is delineated by the heel and toe ends 16 and 18 and by the inside-foot and outside-foot edges 20 and 22. As with the device 10 of FIG. 3, the upper surface 24 comprises a planar surface portion 24 a that lies in a wedge plane 48. However, due to the presence of the projection 46, the device 10 of FIGS. 12 through 14 further comprises an arcuate surface portion 24 b defined by the projection 46. The projection 46 and its arcuate surface portion 24 b extend out of the wedge plane 48, as particularly evident from FIG. 13. As with the upper surface 24 of the prior embodiments, the planar surface portion 24 a lying in the wedge plane 48 has a nonuniform elevation relative to the base portion 14 as a result of the wedge portion 12 having a fore-aft taper in the fore-aft direction and a lateral taper in the lateral direction, such that the inside-foot edge 20 has a higher elevation at the toe end 18 than at the heel end 16. In contrast, the outside-foot edge 22 can have a substantially constant elevation in the fore-aft direction.

As seen in FIG. 12, the projection 46 extends from the inside-foot edge 20 toward but not to the outside-foot edge 24 in the lateral direction, and extends between but not to the heel and toe ends 16 and 18 of the wedge portion 12, essentially placing the projection 46 at a location corresponding to the arch of a user's foot. In a preferred embodiment, the projection 46 extends up to about 6.5 centimeters, more preferably about 4.5 to about 6.5 centimeters, from the inside-foot edge 20 toward the outside-foot edge 24 in the lateral direction, and extends about 9 to about 11 centimeters, for example about 10 centimeters, along the inside-foot edge 20 in the fore-aft direction. Furthermore, the projection 46 may be spaced a distance of about 8 to about 9.5 centimeters, more preferably about 9 centimeters, from both the heel and toe ends 16 and 18.

The arcuate surface portion 24 b defined by the projection 46 is intended to correspond to the size, shape and location of the arch of a human foot. As such, the projection 46 can be seen in FIGS. 12 through 14 to define continuous arcuate contours in both the lateral and fore-aft directions of the wedge portion 12, terminating at the planar surface portion 24 a or the inside-foot edge 20. These arcuate contours can be, for example, sinusoidal or parabolic in shape. To provide adequate support for the arch, the contours of the surface portion 24 b preferably define an apex that is at least ten millimeters, for example, about ten to about forty millimeters, from the wedge plane 48. FIGS. 12 through 14 represent the apex as located at the inside-foot edge 20, generally consistent with the shape and location of the arch of a human foot. The surface of the surface portions 24 a and 24 b are represented as including small raised features 50, which can be configured to provide a slip-resistant surface texture or serve as acupuncture bumps.

Though represented as adapted to accommodate only one foot (for illustrative purposes, FIGS. 12 through 14 depict a right-footed device 10), the device 10 could be readily configured to accommodate both feet, as shown in FIGS. 1, 2 and 9-11 and as previously discussed in reference to FIG. 3, in which case the device 10 would further include a second wedge portion and projection that are preferably mirror images of the wedge portion 12 and projection 46 shown in FIGS. 12 through 14. The projection 46 is represented in FIGS. 12 through 14 as integrally formed with the remainder of the device 10, for example, part of a freestanding body formed as a one-piece molding of a hard plastic or rubber material. As a result, the projection 46 may have a fixed shape and height. Alternatively, the projection 46 could be a removable feature allowing projections 46 of different shapes and heights to be installed on the upper surface 24 of the wedge portion 12. Furthermore, the projection 46 could be configured so that its height and shape is adjustable. For example, the projection 46 could be a hollow feature that allows its shape and height to be altered by injecting air or another suitable fluid (liquid or gas) into a cavity located beneath the surface portion 24 b, for example, between the surface portion 24 b and the wedge plane 48. In addition, the projection 46 could be adjusted by various other means, for example, with a jack and pinion,

Consistent with the prior embodiments, the fore-aft and lateral tapers of the wedge portion 12 are sufficient so that placement of a user's foot against the upper surface 24 of the wedge portion 12 causes supination and locking of the foot to enable stretching of the Achilles complex. More particularly, the user's heel is supported at the heel end 16 by the planar surface portion 24 a, and the user's toes are supported at the toe end 18 by the planar surface portion 24 a. Additionally, the arch of the user's foot is against and supported by the arcuate surface portion 24 b between the heel and toe ends 16 and 18 of the wedge portion 12, with the result that the projection 46 at least minimizes if not avoids stretching of the arch of the foot while a user stretches their calf muscles and Achilles tendon with the device 10. As such, the device 10 represented in FIGS. 12 through 14 is capable of avoiding the creation or worsening of a flatfoot condition.

While the invention has been described in terms of specific embodiments, it is apparent that other forms could be adopted by one skilled in the art. For example, the physical configuration of the wedges and foot plates could differ from that shown, and materials and processes other than those noted could be used. Therefore, the scope of the invention is to be limited only by the following claims. 

1. A therapeutic device for the foot, the device comprising: a base portion; a wedge portion having oppositely-disposed heel and toe ends in a fore-aft direction thereof, oppositely-disposed inside-foot and outside-foot edges in a lateral direction thereof; an upper surface delineated by the heel and toe ends and the inside-foot and outside-foot edges of the wedge portion, the upper surface comprising a planar surface portion that lies in a wedge plane and an arcuate surface portion defined by a projection that extends out of the wedge plane, the wedge plane having a nonuniform elevation relative to the base portion as a result of the wedge portion having a fore-aft taper in the fore-aft direction and a lateral taper in the lateral direction wherein the inside-foot edge has a higher elevation at the toe end than at the heel end and the outside-foot edge has a substantially constant elevation in the fore-aft direction; the fore-aft taper and the lateral taper being sufficient so that placement of a user's heel on the upper surface at the heel end and the user's toes on the upper surface at the toe end causes supination and locking of the foot and enables stretching of the Achilles complex; and the projection extending from the inside-foot edge toward but not to the outside-foot edge in the lateral direction, and extending between but not to the toe and heel ends of the wedge portion, the arcuate surface portion of the projection having arcuate contours in both the lateral and fore-aft directions, and the arcuate contours of the arcuate surface portion defining an apex that is at least ten millimeters to about forty millimeters from the wedge plane.
 2. The therapeutic device according to claim 1, wherein the inside-foot edge at the toe end is elevated about 2.5 to about 10 centimeters above the outside-foot edge as a result of the fore-aft taper and the lateral taper of the wedge portion.
 3. The therapeutic device according to claim 1, wherein the projection extends about 5.5 to about 7.5 centimeters from the inside-foot edge toward the outside-foot edge in the lateral direction, and extends about 9 to about 11 centimeters along the inside-foot edge in the fore-aft direction.
 4. The therapeutic device according to claim 1, wherein the arcuate contours of the arcuate surface portion are parabolic or sinusoidal.
 5. The therapeutic device according to claim 1, wherein the base portion comprises a rocker feature that enables the wedge portion to be pitched fore and aft for increased stretching of the Achilles complex.
 6. The therapeutic device according to claim 1, wherein the nonuniform elevation of the upper surface of the wedge portion relative to the base portion is a result of the wedge portion having a nonuniform thickness defined by the fore-aft taper and the lateral taper of the wedge portion.
 7. The therapeutic device according to claim 1, wherein the wedge portion is a first wedge portion of the device and the device further comprises a second wedge portion that is a mirror image of the first wedge portion, the first and second wedge portions causing simultaneously supination and locking of both feet of the user and enabling stretching of the Achilles complexes of both feet of the user.
 8. The therapeutic device according to claim 7, wherein the first and second wedge portions are not coupled to each other.
 9. The therapeutic device according to claim 7, wherein the first and second wedge portions are coupled to each other.
 10. The therapeutic device according to claim 1, wherein the upper surface of the wedge portion is a slip-resistant surface.
 11. The therapeutic device according to claim 1, wherein the device is a freestanding structure, the base portion is adapted for placement on a surface of a floor or ground, and the wedge portion enables weight-bearing stretching of the Achilles complex.
 12. The therapeutic device according to claim 11, further comprising means for securing the wedge portion to the foot.
 13. The therapeutic device according to claim 11, further comprising means for adjusting the elevation of the wedge portion relative to the base portion.
 14. The therapeutic device according to claim 13, wherein the adjusting means comprises a rail coupled to the wedge portion and an abutment member movable into engagement with the rail to cause the wedge portion to pivot relative to the base portion and increase the elevation of the upper surface of the wedge portion relative to the base portion.
 15. The therapeutic device according to claim 1, wherein the device is a shoe and the wedge portion causes weight-bearing stretching of the Achilles complex when the user walks and runs while wearing the shoe.
 16. The therapeutic device according to claim 15, wherein the wedge portion is a removable insert in the shoe.
 17. The therapeutic device according to claim 15, wherein the wedge portion is an integral portion of a sole of the shoe.
 18. The therapeutic device according to claim 1, wherein the device is a splint and the nonuniform elevation of the upper surface of the wedge portion relative to the base portion is a result of the splint twisting the wedge portion.
 19. The therapeutic device according to claim 1, wherein the device is an apparatus comprising at least one strap attached to the base portion, the wedge portion being between first and second ends of the strap by which a user can pull the wedge portion to cause stretching of the Achilles complex.
 20. The therapeutic device according to claim 1, wherein the wedge portion has a nonconstant lateral width in the lateral direction and a toe width at the toe end thereof that is greater than a heel width at the heel end thereof.
 21. A method of stretching of the Achilles complex using the device according to claim 1, the method comprising placing a user's foot against the upper surface of the wedge portion so that a heel of the user's foot is against the planar surface portion at the heel end of the wedge portion and toes of the user's foot are against the planar surface portion at the toe end of the wedge portion to cause supination and locking of the foot and stretching of the Achilles complex, and so that an arch of the user's foot is against and supported by the arcuate surface portion between the heel and toe ends of the wedge portion.
 22. A method of stretching of the Achilles complex using the device according to claim 11, the method comprising: placing a user's foot against the upper surface of the wedge portion so that a heel of the user's foot is against the planar surface portion at the heel end of the wedge portion and toes of the user's foot are against the planar surface portion at the toe end of the wedge portion to cause supination and locking of the foot, and so that an arch of the user's foot is against and supported by the arcuate surface portion between the heel and toe ends of the wedge portion; and then shifting weight of the user to the foot to cause weight-bearing stretching of the Achilles complex.
 23. A method of stretching of the Achilles complex using the device according to claim 15, the method comprising: donning of the shoe by a user to cause supination and locking of the foot, and so that an arch of the user's foot is against and supported by the arcuate surface portion; and then walking in the shoe to cause weight-bearing stretching of the Achilles complex.
 24. A method of stretching of the Achilles complex using the device according to claim 18, the method comprising donning of the splint by a user by placing the user's foot against the upper surface of the wedge portion so that a heel of the user's foot is against the planar surface portion at the heel end of the wedge portion and toes of the user's foot are against the planar surface portion at the toe end of the wedge portion to cause supination and locking of the foot and stretching of the Achilles complex, and so that an arch of the user's foot is against and supported by the arcuate surface portion between the heel and toe ends of the wedge portion.
 25. A method of stretching of the Achilles complex using the device according to claim 19, the method comprising: placing a user's foot against the upper surface of the wedge portion so that a heel of the user's foot is against the planar surface portion at the heel end of the wedge portion and toes of the user's foot are against the planar surface portion at the toe end of the wedge portion to cause supination and locking of the foot, and so that an arch of the user's foot is against and supported by the arcuate surface portion between the heel and toe ends of the wedge portion; and then pulling on the first and second ends of the strap to cause supination and locking of the foot and stretching of the Achilles complex. 